Tumores Ósseos Flashcards

1
Q

Patients with bone tumors most frequently present with _______.

A

Patients with bone tumors most frequently present with pain.

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2
Q

Initially, the bone tumor pain may be ______ related.

A

Initially, the bone tumor pain ay be activity related.

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3
Q

Malignancy of bone often complains of _________ pain ____________.

A

Malignancy of bone often complains of progressive pain at rest and at night.

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4
Q

Which benign tumor can present this night pain initially?

A

Osteoid osteoma.

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5
Q

Ewing sarcoma is exceedingly rare in individuals of _______ descent

A

Ewing sarcoma is exceedingly rare in individuals of African descent

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6
Q

Family history occasionally can be helpful, as in cases of __________________ and ______________.

A

Family history occasionally can be helpful, as in cases of multiple hereditary exostosis and neurofibromatosis.

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7
Q

_____________ may be the most important information obtained in the history.

A

Age may be the most important information obtained in the history.

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8
Q

During physical examination, the mass of the bone tumors should be described as:

Numeral description
1)
2)
3)

A

During physical examination, the mass of the bone tumors should be described as:

Numeral description

1) Measures
2) Location
3) Temperature

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9
Q

During physical examination, the mass of the bone tumors should be described as:

Structural description
4)
5)

A

During physical examination, the mass of the bone tumors should be described as:

Structural description

4) Shape
5) Consistency

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10
Q

During physical examination, the mass of the bone tumors should be described as:

Dynamic description
6)
7)
8)

A

During physical examination, the mass of the bone tumors should be described as:

Dynamic description

6) Tenderness
7) Mobiity
8) Change with position

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11
Q

Besides the mass, other important physical exam evaluations are:
1)
2)
3)

A

Besides the mass, other important physical exam evaluations are:

1) Muscular atrophy and neurological deficits
2) Cutaneous lesions
3) Lymph nodes palpation

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12
Q

All suspected musculoskeletal neoplasms should be evaluated initially with __________________.

A

All suspected musculoskeletal neoplasms should be evaluated initially with plain biplanar radiographs.

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13
Q

Often, the patient’s _____ and __________are sufficient to arrive at a specific diagnosis for bone tumors.

A

Often, the patient’s age and plain radiographic findings are sufficient to arrive at a specific diagnosis for bone tumors.

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14
Q

Radiographic evaluation should begin by determining the _____________________.

A

Radiographic evaluation should begin by determining the site of the lesion of the bone tumor.

*because many bone tumors have specific site predilections

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15
Q

Quais são os diagnósticos diferenciais das lesões tumorais epifisárias?

A

Durante a EPIdemia do COVID-19 na rua da minha casa, no poste estava o dinossauro gigante dos desenhos animados japoneses que cospe fogo, com uma fantasia de célula roxa, lutando contra Manda, a “cobla” gigante e Carlos Schocair (CS Claro) pálido com medo e gritando com uma mascara branca.

1) Condroblastoma (Cobla)
2) Tumor de células gigantes (células gigantes)
3) Condrosarcoma Claro. (CS Claro)

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16
Q

O condroblastoma é mais comum na faixa etária de ___________ anos.

A

“Cobla” é pequena menor, idade menor.

O condroblastoma é mais comum na faixa etária de 10-25 anos.

17
Q

O tumor de células gigantes é mais comum dos _________ anos.

A

Gigante é maior, logo a idade é maior.

O tumor de células gigantes é mais comum dos 20-40 anos.

18
Q

Quais são os diagnósticos diferenciais das lesões tumorais diafisárias?

A

No planalto do DF, estava o SURFISTA EWING surfando no espelho d’agua carregando no ombro a MENINA DE THE SINNER dando batidas e cutbacks, prontos para o momento mais HISTórico do ano que entraria para todos os livros de HISTória: WOLVERINE vai assumir a presidência do Brasil.

1) Sarcoma de Ewing (surfista Ewing)
2) Linfoma (menina de the sinner)
3) Displasia Fibrosa (DF) Distrito Federal
4) Adamantinoma (Adamante, volverine)
5) Histiocitose (Hist) História.

19
Q

O Sarcoma de Ewing é mais comum na faixa etária de _____ anos.

A

S parece um 5 e os pássaros normamente tem 2 wings.

5-25

O Sarcoma de Ewing é mais comum na faixa etária de 5-25 anos.

20
Q

O linfoma na lesão diafisária é mais comum em __________.

A

O linfoma na lesão diafisária é mais comum em adultos.

21
Q

Adamantinoma consideramos quando estamos em uma lesão diafisária na _________.

A

Adamanti –> Adamantibia

Adamantinoma consideramos quando estamos em uma lesão diafisária na tíbia.

22
Q

Os diagnósticos diferenciais para lesão tumoral de coluna em pacientes maiores que 40 anos, consistem em:

A

No congresso de METASCIENCE, Ioannidis velho estava com dor na coluna de tanto ficar sentado e resolveu comer no intervalo. Na mesa tinha uma fonte de MMs para comer o quanto quiser e uma Ema dentro de uma gaiola que botava ovos de cordona frescos para comer na hora.

1) Metástases (Metascience –> Ioannidis)
2) Mieloma Múltiplo (MM –> Chocolate)
3) Hemangioma (Hema –> Ema animal)
4) Cordoma (Cordoma –> Codorna ovo)

23
Q

Os diagnósticos diferenciais para lesão tumoral de coluna em pacientes com menos que 30 anos, consistem em:

A

■ Histiocytosis
■ Hemangioma

■ Osteoid osteoma
■ Osteoblastoma
■ Aneurysmal bone cyst